Name of Student: Rene John G. Francisco Name of Patient: R.C.

Age: 90 years old

Course/ Section/ Group: BN4-A; Group 2 CC: Body Weakness Final Diagnosis: Electrolyte Imbalance secondary to Poor intake

Drug Name Generic: Polynerv Brand: Vitamin B Complex (B1, B6, B12) Classification: Vitamins and Minerals

Dosage/ Frequency/ Route Dosage: 500 mg per Tablet Frequency: OD Route: Per orem

Mechanism of Action A coenzyme that stimulate metabolic function and is needed for cell replication, hematopoiesis, and nucleoprotein and myelin synthesis. Vitamins B1, B6 and B12 (Polynerv) oral drops is valuable in conditions where the requirements for B vitamins are increased as in growth, physiologic stress, decreased resistance to infection and chronic illnesses, metabolic disorder sand in certain diseases of the digestive tract and nervous system. Source: Roth, L.S. (2010). Mosbys Nursing Drug Reference, 23. USA: Mosby, Inc

Indication Rheumatic pains, alcoholism, cardiac disorders, low blood pressure.

Contraindication Vitamin B complex should not be used in hypersensitivity to any of the vitamins hypersensitive to vitamin B12 or cobalt, containing in the preparation, as well as in patients with 2nd or 3rd degree arterial hypertension

Adverse Reaction CV: peripheral vascular thrombosis, heart failure. GI: transient diarrhea. Respi: pulmonary edema. Skin: itching, transitory exanthema, urticaria. Other: anaphylaxis, pain.

Nursing Responsibilities Assessment and Drug Effects BEFORE: Determine reticulocyte count, hct, Vit. B12, iron, folate levels before beginning therapy. Obtain a sensitivity test history before administration Avoid I.V. administration bec. faster systemic elimination will reduce effectiveness of vitamin. DURING: Dont give large doses of vitamin B12 routinely; drug is lost through excretion. Dont mix parenteral preparation in same syringe with other drugs. AFTER: Protect Vit. B12 from light. Dont refrigerate or freeze. Monitor patient for hypokalemia for first 48 hours, as anemia correct itself. Give potassium supplements, as needed.

Drug Name

Generic: Omeprazole Brand: Omepron Classification: Proton-Pump Inhibitor

Dosage/ Frequency/ Route Dosage: 20mg/ tab Frequency: OD Route: Per orem

Mechanism of Action Gastric acid-pump inhibitor: Suppresses gastric acid secretion by specific inhibition of the hydrogenpotassium ATPase enzyme system at the secretory surface of the gastric parietal cells; blocks the final step of acid production.

Indication

Contraindication

Adverse Reaction

Nursing Responsibility

Source: Roth, L.S. (2010). Mosbys Nursing Drug Reference, 23. USA: Mosby, Inc

Short-term treatment of active duodenal ulcer; First-line therapy in treatment of heartburn or symptoms of gastroesophageal reflux disease (GERD); Short-term treatment of active benign gastric ulcer; GERD, severe erosive esophagitis, poorly responsive symptomatic GERD; Long-term therapy: Treatment of pathologic hypersecretory conditions (Zollinger-Ellison syndrome, multiple adenomas,

Contraindicated with hypersensitivity to omeprazole or its components; Use cautiously with pregnancy, lactation.

CNS: Headache, dizziness, asthenia, vertigo, insomnia, apathy, anxiety, paresthesias, dream abnormalities Dermatologic: Rash, inflammation, urticaria, pruritus, alopecia, dry skin GI: Diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth, tongue atrophy Respiratory: URI symptoms, cough, epistaxis Other: Cancer in preclinical studies, back pain, fever

Assessment History: Hypersensitivity to omeprazole or any of its components; pregnancy, lactation Physical: Skin lesions; T; reflexes, affect; urinary output, abdominal exam; respiratory auscultation Interventions Administer before meals. Caution patient to swallow capsules wholenot to open, chew, or crush them. Arrange for further evaluation of patient after 8 wk of therapy for gastroreflux disorders; not intended for maintenance therapy. Symptomatic improvement does not rule out gastric cancer, which did occur in preclinical studies. Administer antacids with omeprazole, if needed. Teaching points Take the drug before meals. Swallow the capsules whole; do not chew, open, or crush them. This drug will need to be taken for up to 8 wk (short-term therapy) or for a prolonged period (> 5 yr in some cases). Have regular medical follow-up visits. These side effects may occur: Dizziness

systemic mastocytosis);

(avoid driving or performing hazardous tasks); headache (request medications); nausea, vomiting, diarrhea (maintain proper nutrition); symptoms of upper respiratory tract infection, cough (do not self-medicate; consult with your health care provider if uncomfortable). Report severe headache, worsening of symptoms, fever, chills.